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Induction of labor in women 35 years and older (March 2016)

Induction of labor in women 35 years and older (March
2016)

The risk of stillbirth at term rises with increasing
maternal age. Term induction of labor for older mothers may
reduce the risk of stillbirth but has raised concerns for
potentially increasing cesarean and operative vaginal
delivery rates. However, in a trial of over 600 women aged
35 years or older, cesarean and operative vaginal delivery
rates were similar among women induced in the 39th week of
pregnancy or expectantly managed [8]. This study adds to the
body of literature indicating that induction of labor at
term does not increase the rates of cesarean or operative
vaginal delivery. (See
"Management of infertility and pregnancy in women of
advanced age", section on 'Risk of stillbirth versus
delivery'.)